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Individual
BRENT FREDRICK NEWBY
Active
Individual
BRENT FREDRICK NEWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-024342
OH
122300000X
Dentist
Primary
9177-D
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9177
KY
Other
Enumeration date
05/30/2012
Last updated
02/03/2015
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